Individual provider Active NPI

Faithe Rassias Kalisperis, MPT, DPT, C/NDT

  • Pediatric Physical Therapist
  • West Chester, PA
National Provider Identifier
1740734094
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT016703 Issued in PA
Practice address
616 Beaumont Cir
West Chester, PA 19380-6438
Phone
(610) 256-1598
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT016703 PA Primary
Pediatric Physical Therapist 2251P0200X J1-0001770 DE

Addresses

Primary practice location

616 Beaumont Cir
West Chester, PA 19380-6438

Mailing address

616 Beaumont Cir
West Chester, PA 19380-6438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J1-0001770DEMDPediatric Physical Therapist
PT016703PAMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1740734094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BEAUMONT CIR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BEAUMONT CIR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806438",
            "telephone_number": "610-256-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISPERIS",
        "first_name": "FAITHE",
        "middle_name": "RASSIAS",
        "name_prefix": "Dr.",
        "credential": "MPT, DPT, C/NDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT016703",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DE",
            "license": "J1-0001770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.